Conduct a cultural self-assessment. In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage. Using the tables that are located throughout Chapter 2 of your textbook (one for each domain of the Purnell Model for Cultural Competence, Table 2-1 to Table 2-12), answer these questions as they relate to you. Remember, you are answering these questions from your personal perspective, so there is no right or wrong response. Explain why you do or do not adhere to the dominant cultural practices and beliefs of the ethnic group(s) with which you primarily identify. Although the information on this self-assessment paper is strictly confidential, if you do not wish to self-disclose a specific area from the Organizing Framework, indicate so instead of just not addressing it. You are not required to provide citations/references in this paper. Attention should be paid to grammar, spelling, and punctuation. This assignment must be in an APA formatted essay. Table 2-1 Overview and Heritage Where do you currently live? In the suburbs of Clarksville Tennessee. What is your ancestry? African American, Indian and Caucasian Where were you born? Pascagoula Mississippi How many years you lived in the United States? 46 years Were your parents born in the United States? Yes What brought you your parents to the United States? Unsure, trace 4 generations here. Describe the land or countryside where you live? Very populated Have you lived in other places in the United States? Mississippi, Georgia, North Carolina, Texas, Ohio, Kentucky and Tennessee What is your income level? 108,000 Does your income allow you to afford the essentials in life? YES Do you have health insurance? Yes What is your educational level? BSN What is your current occupation? Army Public Health Nurse Are there any particular health hazards associated with your job? Other than combat, TB, and communicable diseases while abroad Have you been in the military yes currently 17 years Are you married No divorced How many children do you have? 2 2-2 Communication What is your full name? Kesha Riley What is your legal name? Kesha Riley By what name do you with to be called? Kesha What is your primary language? English Do you speak a specific dialect? No Do you find it difficult to share your thoughts, feelings, and ideas with family? Friend? Or health care providers? No Do you mind being touched by friends? Strangers? No, depend on where they are touching How do you wish to b greeted? Handshake Are you usually on time for appointments? All the time Observe the patient when physical contact is made does he/she withdraw from the touch or become tense? I always ask or notify the patient before I touch them and where I touch them How close dose the patient stands when talking with family members with health care providers? Within arms distance beside them Does the patient maintain eye contact when talking with the health care provider? Yes 2-3 Family roles and organizations Who makes most of the decisions in your family? I do What types of decisions does the female in your family make? Financial, medical, and kids What type of decision do the males in your family make? My family is predominately female single family homes What are the duties of the women in the family? Cooking, nurturing, providing, diciplinary What are the duties of the males in the family? Provider What should children do to make a good impression for themselves and or the family? Be obedient, respectful, mindful and excel in school What should children not do to make a good impression or themselves and for the family? Be disrespectful, commit a crime or drugs What are children forbidden to do? Everything that is not legal nor ethical What should young adults do to make a good impression or themselves and for the family? Should not draw attention to themselves nor engage in practices that is not look good upon. What are adolescents forbidden to do have children while young, drugs, disrupt family dynamics What are the priorities for your family? Provide food, clothes, a place to stay, and take care of your children What are the roles of the extended family members in this household? Everyone take of the youths, guide them, discipline them. What gives you and your family status? Money to allow them to participate in most programs they want Is it acceptable to you for people to have children out of wedlock? It has become a generation norm, it is not frowned upon as it was in the past Are you accepting of gay, lesbian, or transgendered people? yes with gay and lesbian I have family and friends who are but transgender is I dont agree with while children are still yung. You are born to what you are Is it acceptable to you for people to live together and not be married? with the great grand parents it is frowned upon but yes it is acceptable What is your sexual preference/orientation? Hetersosexual/men 2-4 Workforce issues Do you usually report to work on time? Yes I report an hour early Do you usually report to meetings on time? Yes, it is frowned upon to report to leadership meetings tardy What concerns do you have about working with someone of the opposite gender? No Do you consider yourself a loyal employee? Yes, I am loyal to the Army Corps Do you consider yourself to be assertive in your job? No I am never assertive but yes I am an authoritarian because of my rank structure What difficulty does English give you in the workforce? None mostly everyone who speaks another language use English within the ranks. 2-5 biocultural ecology Are you allergic to any medications? No What problems do you have when you took over the counter medictaions? Headache, cold, allergies What ar the major illness and diseases in your family? Heart disease, thyroid, diabetes, high blood pressure With what race do you identify? African American Observe skin coloration and physical characterisstics? Yes, nail bed and mucous membrane but I am light complexion Observe for and ask about physical handicaps and disabilities? Look for assistance devise such as walkers, cane wheel chair or hearing aids 2-6 High Risk health behaviors How many cigarttes a day do you smoke? None Do you smoke a pipe? No Do you chew tobacco? No How much alcohol do you drink each day? A glass every other night, coffee 1 cup daily, diet coke every other day or tea What recreational drugs do you use? None Do you exercise each day? Yes we do 2 hours of cardio and other muscle endurance exercises 5 days a week Do you use seat belt/helmet? Yes What precautions do you take to prevent getting a sexually transmitted infection/HIV? Since I am an Public Health Nurse, I use condoms and monogamous relationship 2-7 nutrition Are you satisfied with your weight? No Which foods do you eat to maintain your health? Vegetables and meat Which foods do you avoid to maintain your health? Any fattening foods and high carbs Do you avoid specific foods? No only food my palate dislike and whole milk because im lactose intolerant Which foods do you eat when you are ill? Chicken noodle soup and gingerale or orange juice Which foods do you avoid when you are ill? Dairy Why do you avoid these foods? Dairy because of my intolerance and it sours your stomach For what illness do you eat certain food? Cold symptoms chicken noodle soup and orange juice for upset stomach ginger ale Which foods do you eat to balance your diet? Fruit vegetables and meat Which foods do you eat every day? Meat vegetable, fruit and a carb Which foods do you eat every week, chicken, hamburger meat, rice, beans and vegetables Whick food do you eat that are part of your cultural heritage chicken, greens, rice, starch, corn bread any soul food meals Which food are high status foods in my family? Only Thanksgiving, Christmas, New Years, the fourth of July and Easter meals woud be high status. Which food are eaten only by men women children, teenagers and children? Everyone eat the same meal How many meals do you eat each day? 2 What time do you eat each meal? Alternate between breakfast, lunch or dinner Do you snack between meals? Yes on pretzels or nuts What holiday do you celebrate? Thanksgiving, Christmas, New Years, the fourth of July and Easter Who usually buys the food in your household? I do Who does the cooking in your household? I do Do you have a refrigerator? Yes How do you cook your food? Bake, fry or broil How do you prepare meat? I wash it before I cook it then I season it How do you prepare vegetables? Clean, then season and cook it What do you drink with your meals? Juice diet coke, wine or water Do you drink special teas? No Do you have any food allergies? No but my son does Are there certain foods that cause you problems when you eat them? Spicy food How does your diet change with each season? Dependent on how much weight I want to lose 2-8 pregnancy and childbearing practice How many children do you have? 2 Have you ever had a abortion: Stillbirth, or Miscarriage? Yes What do you use for birth control? Yaz What does it mean to you and your family when you are pregnant? Happiness What special food do you eat when your are pregnant? None What foods do you avoid when your are pregnant? Tuna Do you do anything special when you are pregnant? No Who do you want with you when you deliver your baby? Mom and spouse In what position do you want to be when you deliver your baby traditional lying down in the lithotomy What special food do you want after delivery? Doesnt matter Who will help you with the baby after delivery? Husband and mom Do you want to keep the placenta? No What do you do to care for the babys umbilical cord? Alcohol around it to dry it out 2-9 death ritual What special activitie need to be performed to prepare for death? None Would you want to know about your impending death? Unsure What is your preferred burial practice? Cremation How soon after death does burial occur? 7 days How do men grieve in your culture? Some are stronger and emotions or controlled How do women grieve in your culture? Emotionally What does death mean to you? I am a Christian I believe there is life after death.
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